AI Article Synopsis

  • * Atrial septal defect (ASD) is a common congenital heart issue, which can lead to symptoms like fatigue and shortness of breath, especially when larger.
  • * A unique case is presented of a 15-year-old male with dizziness and a complete heart block; treatment involved closing a patent foramen ovale (PFO) and fitting a pacemaker, successfully resolving his symptoms.

Article Abstract

Acquired complete heart block is a rare but severe arrhythmia caused by various factors such as infections, medications, and autoimmune conditions. Atrial septal defect (ASD) is a common congenital heart defect, with larger ASDs possibly causing symptoms such as fatigue, shortness of breath, and frequent respiratory infections. In some cases, high-grade atrioventricular block with ASD can occur; however, the exact incidence is not well established. We report a rare case of a 15-year-old male presenting with acute dizziness. Initial electrocardiogram (EKG) showed a complete heart block with a Crochetage sign. Patent foramen ovale (PFO) was confirmed by transthoracic and transesophageal echocardiograms. Closure of PFO and permanent pacemaker resulted in complete resolutions of symptoms and disappearance of Crochetage sign.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624559PMC
http://dx.doi.org/10.7759/cureus.46498DOI Listing

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